左右中英栏-商标代理委托书

我/我厂（公司） 是 国国籍、依 国/地区法律组成，现委托 申请号/注册号： 商标： 的如下“√”事宜：

POWER OF ATTORNEY

I, , a citizen of

(country/region)

We,

代理。商品/服务类别: a corporation organized and existing under the laws

of hereby entrust to act on my/our behalf in relation to the trademark： Class:

□ 商标注册申请 □ 商标异议申请

□ 变更商标申请人/注册人名义/地址申请

□ 删减商品/服务项目申请 □ 变更商标代理人申请 □ 更正商标申请/注册事项申请 □ 转让申请/注册商标申请 □ 商标续展注册申请

□ 撤销连续三年停止使用注册商标申请

□ 商标注销申请

□ 注册人死亡/终止注销商标申请 □ 补发变更/转让/续展证明申请 □ 补发商标注册证申请 √ 提供商标注册证明申请 □ 提供优先权证明文件申请 □ 商标使用许可合同备案申请

□ 商标使用许可合同备案变更/提前终止申请 □ 商标专用权质押登记申请 □ 撤回商标注册申请申请 □ 撤回商标异议申请 □ 商标评审事宜 □ 其他

委 托 人： 地 址： 联 系 人： 电 话：

年 月 日

App/Reg No.: In the People's Republic of China, for:

□ Registration

□ Opposition

□ Change of name/address of applicant/registrant □ Reduction of goods/services □ Change of agent

□ Correction of application/registration items □ Assignment of application/registration □ Renewal of registration

□ Cancellation of registration for 3 years non-use □ Removal of registration

□ Removal of registration after death/termination of registrant

□ Re-issuance of certification of Change or

Assignment or Renewal

□ Re-issuance of registration certificate

√ Issuance of registration certification documents □ Issuance of certified priority documents □ Recordal of trademark license contract

□ Change/termination of recordal of license contract □ Recordal of mortgage of trademark right □ Withdrawal of registration application □ Withdrawal of opposition application □ Review before the Trademark Review and

Adjudication Board

□ Others

Applicant: Seal/Signature : Address:

Title:

On